Provider Demographics
NPI:1669449948
Name:HOOK, JANICE MARIE (RN, MN,FNP-C)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:MARIE
Last Name:HOOK
Suffix:
Gender:F
Credentials:RN, MN,FNP-C
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:MARIE
Other - Last Name:SHERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN MN FNP-C
Mailing Address - Street 1:210 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-8442
Mailing Address - Country:US
Mailing Address - Phone:360-281-9744
Mailing Address - Fax:
Practice Address - Street 1:12002 SE SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8381
Practice Address - Country:US
Practice Address - Phone:503-698-5733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR094006760N1 FNP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily